Ohio House approves Health Care Sharing Ministries bill after heated debate

House Bill 21, the Health Care Sharing Ministries Freedom to Share Act, passed the Ohio House by a 64–31 vote after a contentious floor debate that split the chamber.

Representative King, the bill’s lead advocate, told colleagues the legislation "ensures Ohio families can continue to share freely without unnecessary government restrictions and mandates," arguing that these ministries are "not insurance" and that the bill adds transparency by requiring annual independent audits and public reporting of shared financial and medical needs. Representative Derek Hall, also supporting the bill, said the measure provides regulatory safeguards — including annual audits — while preserving members’ choice.

Opponents, led by Representative Tims, said the bill would exempt health care sharing ministries from state insurance regulations and create risks for consumers. "This bill will exempt health care sharing ministries from state insurance regulations," Tims said on the floor, adding that under such plans "members . . . could be left facing huge unexpected medical costs." He urged colleagues to consider reports of individuals who believed they were covered and later received large medical bills.

Supporters emphasized choice, religious freedom, and oversight mechanisms included in the bill; critics highlighted studies and testimony they said show high administrative costs and financial vulnerability for low‑income members. The House clerk recorded a final tally of 64 affirmative votes and 31 negative votes, after which the Speaker declared the bill passed and entitled.

Next steps: the measure, having passed the House, will proceed to the Senate as the legislative process continues.